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Description:In The Mix is a 7-session intervention delivered to individuals and groups of people living with HIV (PLWH). This fully integrated and unified intervention targeting both sexual transmission risk behaviors and medication adherence uses a single model of decision - making skills. The first session is delivered one-on-one by one of the group facilitators to set personal treatment and prevention goals for the upcoming group sessions. The next 5 sessions are delivered to groups of 8-10 participants of mixed gender and sexual orientation by male-female facilitator pairs. Group session 1 focuses on building cohesion and trust and includes a discussion on the relationship between risk reduction and treatment goals and an educational team-building game. Group session 2 centers on HIV treatment and applies decisional balance exercises to treatment decisions and sexual relationships in contexts of viral load. Group session 3 focuses on sexual decision making within the context of various scenarios, including mood, substance us e, relationships, viral load, HIV disclosure, and treatment status. Group session 4 builds treatment and safer sex decision skills in relation to substance use with an activity that simulates intoxication while filling a pillbox and then applying a condom to a penis model. Training on medication management and safer sex strategies is also included. Group session 5 focuses on treatment adherence and offers skills-building activities for recognizing STI symptoms. The final individual counseling session delivers a personalized plan for treatment decisions, adherence, and safer sex.
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